Douglas Michael Dederich in Poynette - Registered Nurse
Douglas Michael Dederich - NPI 1831345032
Douglas Michael Dederich is a Registered Nurse in Poynette, Wisconsin. Douglas Michael Dederich practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Douglas Michael Dederich is 1831345032. The last update date is 2008-08-07.
Douglas Michael Dederich's current location address is W10741 Becker Rd, Poynette, Wisconsin. You can contact this provider via phone number 6086350113. The mailing address for Douglas Michael Dederich is W10741 Becker Rd, Poynette, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Michael Dederich |
|---|---|
| Address | W10741 Becker Rd, Poynette, Wisconsin |
| Phone Number | 6086350113 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.N. |
NPI Number Detail
| NPI Number | 1831345032 |
|---|---|
| Provider Enumeration Date | 2008-08-07 |
| Last Updated Date | 2008-08-07 |
Provider Mailing Address Detail
| Address | W10741 Becker Rd |
|---|---|
| City | Poynette |
| State | Wisconsin (WI) |
| Post Code | 539559492 |
| Phone Number | 6086350113 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 148686 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35064600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Douglas Michael Dederich by the Centers for Medicare & Medicaid Services?
The Douglas Michael Dederich has been issued the NPI (National Provider Identifier) 1831345032, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Douglas Michael Dederich's physical address?
The Douglas Michael Dederich is physically located at W10741 Becker Rd, in the city of Poynette, WI, with the postal code 539559492.
What is Douglas Michael Dederich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas Michael Dederich's specialized field of practice is Registered Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 163W00000X.
When did Douglas Michael Dederich receive its 1831345032 assignment?
The Douglas Michael Dederich was assigned its 1831345032 on 2008-08-07, which is the date when this unique identifier was issued to the organization.
When was the information regarding Douglas Michael Dederich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Douglas Michael Dederich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-07.